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Emergency
na
38
Astronomy
9th Grade
02/18/2015

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Cards

Term
Clinical Intervention Aortic dissection
Definition
IV labetalol for 2 min followed by nitroprusside
Term
Aortic dissection H&P
Definition
Stabbing tearing chest pain with hx or HTN, pregnancy, Marfans, etc
Term
Clinical theraputics in patients with Atrial fibrillation with heart failure
Definition
Digoxin or Amioderone.
Term
Diagnostic studies in HTN
Definition
You need the works. 2 separate BP reads, CBC, CMP, UA, CT Head, EKG and CXR
Term
Health Maintenance in Infective endocarditis in IV drug use
Definition
Prophylactic Antibiotics
Term
Clinical Theraputics for Coronary Vasospasm
Definition
Nitroglycerin acutely and CCB
Term
Diagnostic Studies for Coronary Vasospasm
Definition
R/o MI. Get EKG (transient ST elevation) and coronary angiography.
Term
Clinical Intervenion in patient with CP secondary to Cocaine Use
Definition
NO BB or Fibrinolytics. Give CCB, NITRO, BDZ)
Term
Papillary Muscle Rupture Diagnosis
Definition
Hypotension and pulmonary edema a week after an MI
Term
Dermatitis herpetaformous Rash on a patient with GI complaints HCM?
Definition
They have Celiac, stop eating gluten
Term
H&P Black Widow Spider Bite
Definition
Bitten by a spider with hour glass on its back and shortly after experienced muscle spasm
Term
Diagnosis of Rhus Dermatits
Definition
Patient presents with linear streaks of erythematous papules and vessibles. Gotten after playing outside (poision ivy, oak, sumack)
Term
Clinical Therapeutics in Thyroid storm
Definition
BB then Iodine and a gluccocorticoid
Term
Clinical theraputics for thyroiditis
Definition
Give NSAID for acute treatment, can add prednisone
Term
Diagnosis of Adrenal Insufficiency
Definition
progressive weakness, fatigue, poor appetite, and weight loss preceeded months earlier by hyperpigmentation
Term
Clinical intervention for Corneal Abrasion
Definition
Give tetanus, topical nsaid, abx (polymixin/bactrim) get xray or CT if slit lamp doesn't show abrasion
Term
Clinical Intervention for Corneal FB
Definition
Remove withing 24hours, flush it out or anistetic and swab give Erythomycin and patch to protect the eye. Give Tetanus. Call optho will use 25g.
Term
Clinical Therapeutics for Infectious mononucleosis
Definition
Fluids and antipyrectics. If they need can give steroids
Term
Clinical Therapeutics for Otitis externa
Definition
Cleanse thuroughly and give polymyxin/hydrocortison solution.
Term
Gastrointestinal bleeding diagnostic study
Definition
CBC will suggest it, only a scope can find the source
Term
Hepatic encephalopathy HCM
Definition
Don't take diuretics
Term
Hepatic encephalopathy Clinical Theraputics
Definition
Give Lactulose
Term
Hepatic encephalopathy Diagnostic Studies
Definition
abnormal liver function tests and/or ultrasound suggesting liver disease are required, and ideally liver biopsy
Term
Diagnosis of Reyes syndrome
Definition
Child presents with pernicious vomiting and AMS following a viral illness for which he took ASA
Term
Diagnosis of shigelosis
Definition
Patient comes in with watery diarrhea that becomes dysentery (small amount of bloody + tensesmus)
Term
Clinical Therapeutics for C-dif
Definition
Oral Vancomycin
Term
Clinical Therapeutics for diverticulitis
Definition
NPO (bowel rest), IV fluids, PO Metronidazole
Term
Diagnostic Studies for Multiple Myeloma
Definition
Urine Protein-pheresis shows monoclonal bodies, punched out lytic lesions seen on x-ray. Bence Jones proteins on smear
Term
Sickle Cell PT Health Maintenance
Definition
Get penicillin prophylacticall from 4mo to 6yo, Get vaccinated but with non live vaccines, Supplement hydroxyurea and folate.
Term
Clinical intervention for Bell's Palsy
Definition
Protect the eye, give prednisone
Term
Clinical intervention for cluster headache
Definition
Sub q sumatriptan and O2
Term
Endometritis Diagnosis
Definition
Postpartum patient oresenting with fever and uterine tenderness. RF C-Section, chorio, prolonged rom
Term
Clinical intervention for Mastitis
Definition
Can continue nursing, Dicloxacillin or Oxacillin 250mg qid x 7-10 days. If it forms a localized mass it requires I&D.
Term
Diagnostic Study for Molar Pregnancy
Definition
On US it looks like a cluster of grapes. Hystology is the only definitive diagnosis
Term
Femoral neck fracture H&P
Definition
An elderly women with low energy fall, MVA, prolonged steroid use
Term
Osteoarthritis clinical intervenion
Definition
Tylenol and Intrarticular Steroids
Term
Reactive Arthritis Clinical theraputics
Definition
Tylenol and Intrarticular Steroids
Term
Acute respiratory failure Clinical intervention
Definition
ICU
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